HSV retinitis

• Facts:
  Severe, devastating intraocular inflammation
• History / PE:
  1) Acute retinal necrosis syndrome (rapidly progressing bilateral necrotizing retinitis)
  
  2) Keratitis (inflammation of the cornea) and conjunctivitis
  
  3) Painful loss of vision
  
• Diagnosis:
  Widespread, pale, peripheral lesions and central retinal necrosis
• Associated With:
  Immunocompromised patients
• Differential Diagnosis:
  VCV retinitis
  CMV retinitis (painLESS, no conjunctivitis or keratitis)